Active NPI
Jonathan N Trail, RT (R), RVT (VT)
- Vascular Sonography Radiologic Technologist
- Poplar Bluff, MO
National Provider Identifier
1386528487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Sonography Radiologic Technologist
- License
- 168994
- Practice address
- 1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318 - Phone
- (573) 686-4151
- NPI assigned
- Aug 1, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | 483202 | AR | |
| Vascular Sonography Radiologic Technologist | 2471V0105X | 168994 | AR | Primary |
Addresses
Primary practice location
1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318
Mailing address
3008 Canterbury
Paragould, AR 72450-7790
Phone (870) 476-2923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 483202 | AR | MD | Radiography Radiologic Technologist |
| 168994 | AR | MD | Vascular Sonography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1386528487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3008 CANTERBURY",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724507790",
"telephone_number": "870-476-2923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N WESTWOOD BLVD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639013318",
"telephone_number": "573-686-4151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAIL",
"first_name": "JONATHAN",
"middle_name": "N",
"credential": "RT (R), RVT (VT)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-01",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "AR",
"license": "483202",
"primary": false
},
{
"code": "2471V0105X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": "AR",
"license": "168994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poplar Bluff, MO
- Robert Joseph Tonner Jr., RPH PHARMACIST
- Tos Home Health Care Inc
- Tos Home Medical Equipment LLC (TOS Home Medical Equipment)
- Total Alignment Chiropractic
- Cynthia Denise Tragasz
- Harley Oona Trammell
- Kyleigh Dawn Treat
- Tri-County Group XV, Inc. (Elara Caring)
- Brennan Trotter, PTA
- Troy L Bell OD & Assoc PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.